please welcome to the stage john figueroa cochair of the health care symposium committee and ceo of genoa health care. [applause] >> what an incredible morning. the insight that doctoring emanuel regarded the results in the future the affordable parents as well as integrated care and power industries moving to a value-based system was fascinating. equally as intriguing was the description of our complex and ever-changing health care system by our esteemed panel of doctors and health care administrator's. i trust that their years of practical experience and i trust that they have certainly confirmed the complexity of our health care system and the speed in which it's changing in america. i'm going to take a little bit of a different view on this some of his comments consistent with